Search

Your search keyword '"Cangemi B"' showing total 2 results
Start Over Author "Cangemi B" Topic hemodynamics
2 results on '"Cangemi B"'

1. Hemodynamic and pulmonary changes during and after laparoscopic cholecystectomy. A comparison with traditional surgery.

Author

Volpino P, Cangemi V, D'Andrea N, Cangemi B, and Piat G

Subjects
Carbon Dioxide administration & dosage, Female, Follow-Up Studies, Humans, Intraoperative Complications physiopathology, Male, Middle Aged, Pneumoperitoneum, Artificial, Postoperative Complications physiopathology, Prognosis, Respiratory Function Tests, Retrospective Studies, Risk Factors, Cholecystectomy, Laparoscopic, Hemodynamics physiology, Laparotomy, Lung physiopathology
Abstract

Background: The cardiopulmonary changes experienced by patients who undergo laparoscopic cholecystectomy (LC) and the prognostic value of patient characteristics are not well understood., Methods: Cardiorespiratory changes were investigated in 120 patients undergoing LC or open cholecystectomy (OC). The results and their relation to patient variables were statistically evaluated., Results: The most significant cardiorespiratory changes were (A-a)PO2 increase during OC; decrease of pH and compliance and increase of peak airway pressure during LC; impairment of arterial blood gas mean values and respiratory muscle strength; atelectasis and pneumonia (five cases) after OC; and lamellar atelectasis (two cases) after LC. Significant adverse prognostic factors related to intra- and postoperative LC cardiorespiratory changes were ASA class greater than I, FEF75-85% < 900 ml, and PaO2 < 10.4 kPa (PPV, 71.4% and 46.6%, respectively)., Conclusions: LC carries no significant cardiorespiratory changes provided that intraoperative monitoring of hemodynamics and respiratory parameters is done for the study of blood gas values in all patients at risk.

Published
1998
Full Text
View/download PDF

2. Hemodynamic and pulmonary changes during and after laparoscopic cholecystectomy A comparison with traditional surgery

Author

D'Andrea N, P. Volpino, Cangemi B, V. Cangemi, and G. Piat

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Hemodynamics, Atelectasis, Cardiorespiratory fitness, medicine.disease, Surgery, Pneumoperitoneum, medicine, Respiratory muscle, Arterial blood, Cholecystectomy, sense organs, business, Abdominal surgery
Abstract

Background: The cardiopulmonary changes experienced by patients who undergo laparoscopic cholecystectomy (LC) and the prognostic value of patient characteristics are not well understood. Methods: Cardiorespiratory changes were investigated in 120 patients undergoing LC or open cholecystectomy (OC). The results and their relation to patient variables were statistically evaluated. Results: The most significant cardiorespiratory changes were (A-a)PO2 increase during OC; decrease of pH and compliance and increase of peak airway pressure during LC; impairment of arterial blood gas mean values and respiratory muscle strength; atelectasis and pneumonia (five cases) after OC; and lamellar atelectasis (two cases) after LC. Significant adverse prognostic factors related to intra- and postoperative LC cardiorespiratory changes were ASA class greater than I, FEF75–85% < 900 ml, and PaO2 < 10.4 kPa (PPV, 71.4% and 46.6%, respectively). Conclusions: LC carries no significant cardiorespiratory changes provided that intraoperative monitoring of hemodynamics and respiratory parameters is done for the study of blood gas values in all patients at risk.

Published
1998

Catalog

Books, media, physical & digital resources
See catalog results